Provides strategic leadership for all current FEP member facing products (Medical, Dental and Vision, Postal and Overseas) as well as future portfolio expansion to meet enrollment goals and profitability targets. Works collaboratively with Actuarial team to develop the strategy for product pricing, and competitive scenarios to manage portfolio stability. Responsible for wo

Develops, implements and administers Federal Employee Program (FEP) financial policies to ensure FEP compliance with the requirements of the Federal Acquisition Regulation, the Federal Employee Health Benefit Acquisition Regulation, the applicable Cost Accounting Standards, the Financial Accounting Standards, and the terms of the FEP contract, C.S. 1039, as well as to ensu

The Executive Director, Cyber Threat Intelligence combines deep technical expertise with an ability to lead across the BlueCross BlueShield system to deliver an advanced cyber threat intelligence service. You will lead a team of highly proficient technical resources within Blue Cross Blue Shield Association (BCBSA) to work across 30+ individual BCBS Plans to curate, collec

Job Description Summary The Data Product Manager will be a key resource at Synergie, a technical role supporting the business needs for IT infrastructure, information transmission, reporting and analytics. This role will develop creative and innovative solutions to support complex and large scale information exchanges, working with internal and external stakeholders. Key r

Job Description Summary Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs ones that are injected or infused by a health care profess

Job Description Summary Are you passionate about cyber risk management? Are you someone who enjoys creating new and collaborative processes? Do you enjoy helping others succeed by leading in risk based decision making discussions? We have an opportunity for you at BCBSA Information Security. We are looking for a cyber risk management leader (Director level role) to lead th

The Managing Director of Strategic Partnerships and Development is in a key position to drive the advancement of BCBS Plans' competitive position. This role has the responsibility for establishing and leading pioneering community partnerships, driving the development of new programs and services at BCBSA in partnership with external affairs and other BCBSA teams, and the e

Responsible for leading multiple projects, services and associated deliverables related to HEDIS, Care Management Programs and the activities for the Federal Employee Program (FEP) in support of the integrated care model. Functions as the Plan liaison clinical subject matter expert, assimilating information and developing strategic recommendations to proactively address Pl

Under moderate supervision, ensures the effectiveness and efficiency of the Executive Director (ED) or Vice President (VP's) office by providing full range of secretarial/administrative support to the Executive or team and in certain instances the department, exercising confidentiality, tact and diplomacy. Functions as department information resource for internal and exter

This position works as a member of the Federal Affairs team to support the execution, management, and tracking of legislative/lobbying related projects. Participates in the development of legislative tracking, issue talking points, and other materials to enable the Association to influence the legislative outcome favorably; and achieving BCBSA's legislative objectives via

The Executive Director, Public Affairs and Administration is a highly visible leadership role that advances BCBSA organizational and policy priorities by directing impactful strategic initiatives and driving internal, cross functional collaboration. Develops strategy for and manages execution of coalition, Beltway and in district public affairs campaigns. Builds, strengthe

Job Description Summary Executes measures for the prevention, identification and investigation of fraud, waste, and abuse (FWA) perpetrated against the Federal Employee Program (FEP). Ensures that Blue Cross Blue Shield (BCBS) Plans and Pharmacy Benefit Managers (PBMs) meet reporting requirements as mandated by the Carrier Letter and FEP Special Investigations Unit (FEP SI

Job Description Summary Responsible for the design, development and implementation of advanced technology systems and data standards to meet the needs of business. Partners with customers to understand business requirements to create the technical functional specifications. Acts as an internal data consultant to advise and influence business and technical partners. This ro

Senior leader to advance BCBSA's legislative and regulatory policy solutions and market positioning in Medicare, Medicaid, Duals, and Children's Health Insurance Program, impacting the tens of millions of Americans we cover, serve, and support in these programs. This role will be a critical policy voice on the most pressing policy issues, serving as a lead advocate for gov

The Clinical Affairs Project Director will focus on planning and delivery of complex and strategic initiatives. This candidate will be responsible for leading the clinical affairs team through planning and delivery of various projects. The role is expected to proactively assess delivery feasibility, identify conflicts with other projects and is accountable for end to end d